Dr. Jung H Joh
Internal Medicine (Nephrology)

Address: 1130 N 185th St, Suite 102, Shoreline, WA 98133-4011
Phone: 2065421000

Dr. Jung H Joh (NPI# 1891770533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1891770533
Entity Type Individual
Full Name Dr. Jung H Joh
Credential MD
Gender Male
Practice Address 1130 N 185th St
Suite 102
Shoreline
WA 98133-4011
Practice Telephone 2065421000
Practice Fax Number 2065425353
Mailing Address 1130 N 185th St
Suite 102
Shoreline
WA 98133-4011
Mailing Telephone 2065421000
Mailing Fax Number 2065425353
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-12-14
Last Update Date 2012-03-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RN0300X Internal Medicine · Nephrology Allopathic & Osteopathic Physicians MD00036853 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA 8238495 MEDICAID

Physician Overview

NPI 1891770533
PAC ID by PECOS 5092605964
Professional Enrollment ID I20041013000603
Full Name Jung H Joh
Organization Legal Name SEATTLE NEPHROLOGY PLLC
Phone Number 2065421000109
Gender M
Credential MD
Graduation Year 1991
Primary Specialty NEPHROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 9830089705
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500026 SWEDISH EDMONDS HOSPITAL
500001 NORTHWEST HOSPITAL & MEDICAL CENTER

Office Location

Street Address 1130 N 185TH ST
SUITE 102
City SHORELINE
State WA
Zip Code 98133-4011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720083652 John Yohan Joo Podiatrist 1130 N 185th St, Suite 200, Shoreline, WA 98133-4011 2005-06-16
1346670999 Steven Sung Podiatrist 1130 N 185th St, Suite 201, Shoreline, WA 98133-4011 2013-11-18
1780970160 Saw Hnin Mu Internal Medicine 1130 N 185th St, Ste 201, Shoreline, WA 98133-4011 2011-06-23
1700049236 Win Kyaw Internal Medicine 1130 N 185th St, Suite 102, Shoreline, WA 98133-4011 2008-07-03
1548311624 Ronald Karl Groeschel Dentist 1130 N 185th St, Suite 301, Shoreline, WA 98133-4011 2007-01-15
1720044647 Joohee Kim Internal Medicine 1130 N 185th St, Suite 102, Shoreline, WA 98133-4011 2006-04-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871074807 Minju Kim Counselor 14332 Burke Ave N, Seattle, WA 98133 2018-08-27
1821582941 Hana Alema Misgina Registered Nurse 927 N 199th St, Shoreline, WA 98133 2018-06-21
1588177729 Julie Benefiel Pharmacist 1536 N 115th St. Suite 100, Seattle, WA 98133 2017-11-09
1730607953 Aurora Oaks, LLC Skilled Nursing Facility 16357 Aurora Avenue North, Shoreline, WA 98133 2017-09-08
1750801072 Zoe Ana Cavnar-lewandowski Counselor 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 2017-06-27
1851820211 Adam Lee Gardner Sr. Acupuncturist 925 N 163rd Street, Unit B, Shoreline, WA 98133 2017-06-08
1376085209 Pamela Ashby Counselor 2111 N. Northgateway, 212, Seattle, WA 98133 2016-11-09
1225584956 General Dentistry Dentist 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 2016-09-01
1144672668 Aaron Neubauer Behavior Analyst 13407 Greenwood Ave N, 216c, Seattle, WA 98133 2016-07-08
1619340072 Reshmi Bahadur Specialist/Technologist 10330 Meridian Ave N Ste 380, Seattle, WA 98133 2015-11-06
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972942365 Min Naing Internal Medicine 1130 N 185th St Ste 201, Shoreline, WA 98133 2013-06-18
1780970160 Saw Hnin Mu Internal Medicine 1130 N 185th St, Ste 201, Shoreline, WA 98133-4011 2011-06-23
1700049236 Win Kyaw Internal Medicine 1130 N 185th St, Suite 102, Shoreline, WA 98133-4011 2008-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
1518248921 William Griffith Couser Internal Medicine 16050 169th Ave Ne, Woodinville, WA 98072-8949 2011-08-30
1346535556 David Alan Goodkin Internal Medicine 3807 134th Ave Ne, Bellevue, WA 98005-1437 2011-06-15
1174838676 Shanza Mujeeb Internal Medicine 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 2010-08-10
1942532056 Glenn Ying Gee Internal Medicine 2933 Laurel Rd, Longview, WA 98632-4519 2010-02-01
1700020641 Meghana Shashikant Awad Internal Medicine 1119 Highland Ave Ste 5, Clarkston, WA 99403-2836 2009-04-22
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1952577231 Fadi Husayn Akoum Internal Medicine 1100 Goethals Drive First Floor, Kadlec Neuroscience Center, Richland, WA 99352 2008-05-06
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
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City SHORELINE
Zip Code 98133

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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